Active NPI
Meredith Hacking-Young, SLP
- Speech-Language Pathologist
- Wichita, KS
National Provider Identifier
1124221825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1535
- Practice address
- 410 N Roosevelt St
Wichita, KS 67208-3240 - Phone
- (316) 833-1591
- Fax
- (316) 295-4713
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1535 | KS | Primary |
Addresses
Primary practice location
410 N Roosevelt St
Wichita, KS 67208-3240
Mailing address
410 N Roosevelt St
Wichita, KS 67208-3240
Phone (316) 833-1591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortitude Physical Therapy, LLC | Current | Accepting new patients |
Locations
1541 N Lindberg Cir
Wichita, KS 67206
Phone (316) 258-5882
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1124221825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N ROOSEVELT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083240",
"telephone_number": "316-833-1591",
"fax_number": "316-295-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N ROOSEVELT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083240",
"telephone_number": "316-833-1591",
"fax_number": "316-295-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKING-YOUNG",
"first_name": "MEREDITH",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.